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State recommends acuity‑based DD rates, START pilot and reopening evaluation clinics to serve complex developmental‑disability needs
Summary
Department briefers described three prioritized DD recommendations for the governor's budget: a move to acuity‑based waiver rates, a START model pilot (resource center and specialty teams), and a redesigned evaluation and diagnostic clinic pilot for children.
Legislators heard details on three BISFIG long‑term recommendations aimed at the developmental disabilities (DD) system: an acuity‑based waiver rate redesign, a START model pilot to serve people with complex co‑occurring developmental‑disability and behavioral‑health needs, and reopening or redesigning evaluation and diagnostic (E & D) clinics for children.
Lindsay Carter, who recently transitioned from DD bureau chief to senior long‑term care administrator, told the committee the first recommendation would replace Montana’s current 0208 waiver rate structure with an assessment‑driven, acuity‑based tiering system. Carter said a standardized assessment…
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